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BLS OEWS May 2025 Β· SOC 29-1223 Β· 27,980 workers tracked Β· Updated annually

Psychiatrist Salary 2026,
What Psychiatrists Actually Earn

BLS OEWS wage data for the 27,980 psychiatrists the survey captures, the full P10 to P90 range, how community mental health, hospital employment, telepsychiatry and cash-pay private practice differ, and where subspecialties sit.

Updated July 2026 Β· BLS OEWS May 2025

Compiled by GlobalCybers Labor Market Research Β· Reviewed by Karen Osei, RN, BSN, Clinical Recruitment Lead Β· See methodology & sources β†’

US Median
$281,870
$135.51/hr
P10 (Bottom 10%)
$84,060
$40.41/hr Β· entry
P90 (Top 10%)
$446,520
$214.67/hr Β· top earners
Top-Paying State
$324,150
California Β· #1
Job Growth
+6.1%
2024–2034 Β· BLS
Direct Answer

How much do psychiatrists make in 2026?

Psychiatrists earn a national median of $281,870 a year ($135.51 an hour) per BLS OEWS May 2025 (SOC 29-1223). The 25th percentile is $154,150 and the 90th percentile reaches $446,520, while the published 10th percentile of $84,060 reflects residents and fellows inside the same occupational code. Practice model is what separates the middle from the top: community mental health and academic posts sit lowest, hospital and inpatient employment in the middle, and telepsychiatry panels plus cash-pay or concierge outpatient practice at the top, because psychiatry is one of the few specialties where demand routinely exceeds insurance-network supply. Employment is projected to grow 6.1% through 2034 with roughly 900 openings a year. β†’ Full psychiatrist career guide, career path, credentials & placement β†’

Note: $281,870 blends every experience level and every setting in this occupation. For pay by level alone, see Pay by Level below.

Key takeaways
  • Psychiatrists earn a national median $281,870/yr ($135.51/hr) (BLS OEWS May 2025, SOC 29-1223); the P10 to P90 range is $84,060 to $446,520.
  • Treat the $154,150 25th percentile as the realistic attending floor: the published $84,060 P10 reflects psychiatry residents and fellows in the same occupational code.
  • Psychiatry is unusual in that demand exceeds in-network supply, so cash-pay outpatient practice and telepsychiatry panels sit above employed hospital pay rather than below it.
  • Employment growth of 6.1% through 2034 with roughly 900 openings a year understates the market: the binding constraint is the number of trained psychiatrists, not employer demand.

US Psychiatrist Pay Distribution Β· BLS OEWS May 2025

$84,060
P10
$154,150
P25
$281,870
Median
$362,740
P75
$446,520
P90
Psychiatrist salary distribution in the United States: 10th percentile $84,060, 25th percentile $154,150, median $281,870, 75th percentile $362,740, 90th percentile $446,520 per year (BLS OEWS May 2025).Psychiatrist annual pay percentiles Β· the United States10th to 90th percentile of annual base wage$84,060P10$154,150P25$281,870Median$362,740P75$446,520P90Entry levelTop earners
Source: BLS OEWS May 2025

Pay by Level Β· BLS OEWS May 2025

How much do psychiatrists earn at each level?

BLS OEWS publishes one blended wage for the whole occupation and does not break pay out by credential or practice level. The levels below distribute the published percentile range across the credential tiers this role actually hires at.

LevelMedian (BLS percentile-aligned)
Resident / Fellow (in training)$84,060
Board-Certified Psychiatrist$281,870
Subspecialty / Telepsychiatry or Inpatient Lead$362,740
Cash-Pay Private Practice / Medical Director$446,520

Level medians are aligned to the BLS OEWS May 2025 percentile distribution for SOC 29-1223; GlobalCybers does not yet publish a verified placement sample for this role, so no verified median is shown.

Methodology & Sources

How the numbers on this page are built

Published (BLS): BLS OEWS May 2025, SOC 29-1223, United States national estimate. Public, methodologically rigorous, but sampled on a rolling 3-year basis and published ~10 months after collection β€” so it reflects wages that are already 1–2 years old by the time you read them.

Level and certification medians: distributed across the published BLS percentile range for this SOC code (P10 through P90) according to the credential tiers this occupation actually hires at. They are modeled reference points, not separately surveyed wages.

State and metro figures: modeled β€” the BLS national median multiplied by the GlobalCybers state wage index, and for metros by the published metro index for that state. They are estimates of local pay, not BLS state or metropolitan-area observations, and are labelled as modeled in the tables below.

No verified placement sample:GlobalCybers does not yet publish a placement median for this role, so no "verified" figure appears anywhere on this page.

Full site methodology & data sources β†’

Pay by Career Level

How much does a psychiatrist earn at each career stage?

Psychiatry has no licence tiers above board certification, so the stages below follow the training arc and practice model that the wide OEWS distribution reflects. Each median is anchored to the BLS distribution for SOC 29-1223.

Entry01
Resident / Fellow (in training)
$77K–$154K Β· range
$84,060/yr median

Psychiatry residency plus fellowship in child and adolescent, forensic, addiction or geriatric psychiatry. Salaried training posts sit at the BLS 10th percentile.

Mid02
Board-Certified Psychiatrist
$154K–$363K Β· range
$281,870/yr median

ABPN-certified, carrying an outpatient panel or inpatient service in a hospital or community setting. This is the blended national median.

Senior03
Subspecialty / Telepsychiatry or Inpatient Lead
$345K–$447K Β· range
$362,740/yr median

Child and adolescent or addiction psychiatry, a telepsychiatry panel across several states, or medical direction of an inpatient unit. Pay tracks the BLS 75th percentile.

Leadership04
Cash-Pay Private Practice / Medical Director
$429K–$558K Β· range
$446,520/yr median

Concierge or cash-pay outpatient practice, or medical director of a behavioural-health service line. Pay sits at the BLS 90th percentile.

By State

Which states pay psychiatrists the most in 2026?

These are modeled state estimates β€” the BLS national median scaled by the GlobalCybers state wage index β€” not BLS state observations. Psychiatry is the specialty where geography matters least on the upside: multi-state telepsychiatry licensure means a psychiatrist can serve shortage areas remotely, and shortage areas often pay above high-cost metros.

StateModeled State Estimatevs Top State
California$324,150
Top tier
New York$315,690
Top tier
Washington$310,060
Top tier
Colorado$295,960
Top tier
Texas$269,190
Mid
Mississippi$242,410
Value

6 of 51 state guides shown, ranked by median. Bar is relative to California ($324,150), the highest-paying state shown. See all role salary guides β†’

psychiatrist pay by state β€” all 9 state guides

By Metro

Which cities pay psychiatrists the most?

Modeled metro estimates: the national median scaled by the state wage index and then by the published metro index. For a specialty with substantial remote practice these are illustrative wage levels, not BLS metropolitan-area observations.

City / MSAModeled Metro Estimate
San Francisco Bay Area, CA$388,980
New York City, NY$372,520
Chicago, IL$333,880
Houston, TX$296,100

BLS OEWS MSA estimates, May 2025. Nominal pay β€” weigh each metro against its cost of living before relocating.

Certification Impact

Which certifications raise a psychiatrist’s pay the most?

Median annual pay before and after each credential, based on GlobalCybers placement data cross-referenced with BLS. License upgrades move the needle most; stackable certs add on top.

CredentialMedian WithoutMedian WithAnnual Impact
ABPN psychiatry certification$154,150$281,870+$127,720/yr
Child and adolescent psychiatry subspecialty$281,870$340,000+$58,130/yr
Addiction psychiatry subspecialty$281,870$320,000+$38,130/yr
Forensic psychiatry subspecialty$281,870$362,740+$80,870/yr

Impacts are not additive, the licensing rows share the same career ladder. Browse all 167 certifications β†’

Trade Comparison

BLS OEWS national median across the closest trades. Psychiatrists sit mid-pack on median but carry one of the widest P10–P90 spreads, licensing and specialization drive the upside.

TradeSOCMedian
Cardiologists29-1212$496,010
Anesthesiologists29-1211$391,490
Dermatologists29-1213$328,730
PsychiatristThis role29-1223$281,870
Dental Hygienists29-1292$98,100

BLS OEWS May 2025. Verify psychiatrist wages on BLS.gov β†’

Take-Home Pay

What does a psychiatrist actually take home after taxes?

The medians above are gross base wage.

Estimates use 2026 federal brackets, standard deduction, and 7.65% FICA. Actual take-home varies with filing status, deductions, and local tax.

FAQ

Psychiatrist Salary, Frequently Asked Questions

How much do psychiatrists make in 2026?

The national median is $281,870 a year, about $135.51 an hour, per BLS OEWS May 2025 (SOC 29-1223). The 25th percentile is $154,150 and the 90th percentile reaches $446,520. The published 10th percentile of $84,060 reflects salaried residents inside the same code.

Does telepsychiatry pay more than hospital psychiatry?

Often, yes. Remote panels let a psychiatrist serve several licensed states, fill shortage-area demand and control session volume, so per-hour rates can exceed employed inpatient pay. The trade is no institutional support, and licensure and credentialing in every state served.

Which psychiatry subspecialty pays the most?

Forensic psychiatry usually pays the most per hour because evaluations and expert testimony are billed outside insurance schedules, with child and adolescent psychiatry close behind on scarcity alone. Both sit toward the $362,740 P75 and above.

Why do so many psychiatrists work outside insurance networks?

Because outpatient psychiatric demand exceeds in-network supply, so a full cash-pay or hybrid panel is achievable in most metros. That option is what pushes the top of the range to $446,520 and it is largely unavailable in specialties dependent on facility billing.

Is psychiatry a growing field?

Yes, though the published 6.1% growth and roughly 900 openings a year understate the picture. Behavioural-health demand has grown far faster than the number of accredited training positions, which is why access waits are long and compensation has held up despite the small openings figure.

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Data Sources
BLS ReferenceOEWS May 2025
SOC Code29-1223
US Workers27,980
Job Growth+6.1% (2024–2034)
Reviewed byK. Osei, RN BSN
Verify on BLS.gov β†’Full methodology β†’
$281,870
US BLS median Β· 2026
$324,150
California, top-paying state
27,980
Psychiatrists tracked (BLS)
+6.1%
Job growth 2024–2034

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